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SAN J O A Q U IN Environmental Health Department <br /> CO ( JNTY <br /> Corrective Action Statement <br /> RE : August 28 , 2019 , Hazardous Materials inspection report <br /> For each violation listed below, indicate if the violation has been corrected or will. be corrected by a certain date . <br /> Also, describe what was done to correct the violation in the space provided below each violation . Submit this <br /> completed form with the Return to Compliance Certification within 30 days of inspection . If you have any questions , <br /> please contact Nicholas Loehrer at (209) 468-0623 or nloehrer@sjgov.org . <br /> Submit completed form to : <br /> Facility name : GICO MANAGEMENT SJC ENVIRONMENTAL HEALTH <br /> Facility address : 23073 S Frederick Rd DEPARTMENT <br /> CERS ID : 10182001 ATTN : NICHOLAS LOEHRER <br /> 1868 E HAZELTON AVENUE <br /> PR0526522 <br /> Violation #5 - Failed to complete and/or submit hazardous materials inventory for all reportable materials on <br /> site. <br /> FThis violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included <br /> Describe actions taken or will be taken to correct violation : �\ CAak7\0)r\ Woo, roY Y Q L4QC <br /> N*�Ok aA � o-Q� <br /> Violation #6 - Failed to complete and/or submit a site map with all required content. <br /> �t0 This violation was corrected ❑ This violation will be corrected by (date) : <br /> ❑ Supporting documents included ` r <br /> Describe actions taken or will be taken to correct violation : V O\(,�` <br /> 0VN\ a S CC) Y KOZC 2 <br /> Page 1 of 2 <br /> 1868 E . Hazelton Avenue 1 Stockton , California 952051 T 209 468-3420 1 F 209 464-0138 1 www. sjcehd .com <br />